This document provides treatments for 250 important medical conditions in brief 1-3 word descriptions. Some examples include: dilation for Plummer Vinson syndrome, surgery for intimal flap of carotid artery, heparin and warfarin for post wall MI risk of thrombosis, and proctosigmoidectomy and biopsy for acute ill and toxic patient with ulcerative colitis.
This document provides treatments for 250 important medical conditions in brief 1-3 word descriptions. Some examples include: dilation for Plummer Vinson syndrome, surgery for intimal flap of carotid artery, heparin and warfarin for post wall MI risk of thrombosis, and proctosigmoidectomy and biopsy for acute ill and toxic patient with ulcerative colitis.
This document provides treatments for 250 important medical conditions in brief 1-3 word descriptions. Some examples include: dilation for Plummer Vinson syndrome, surgery for intimal flap of carotid artery, heparin and warfarin for post wall MI risk of thrombosis, and proctosigmoidectomy and biopsy for acute ill and toxic patient with ulcerative colitis.
2- Rx Intimal flap of carotid artery: surgey 3- Rx Ant wall MI : risk of arterial thrombo ; full doses heparin + 3 months of warfarin. 04- Rx Acute ill and toxic pt wit h UC : proctosigmo + biopsy 5- Rx Heat stroke : rapid cooling and for shivering : CPZ & Diazepam 6- Rx progressive back pain + myelopathy: IV dexa --> MRI --> Rx Metastatic cord compression : Radiotherapy 7- Rx refractory hydrothorax due to cirrohis : TIPS 8- Rx Ref ascitis : TIPS 9- Rx recurrent variceal bleeding not responsive to medical Rx : TIPS 10- Rx TCA poisoning : NaHCO3 11- Rx diabetic cystopathy: 1- oral bethancol , 2- intermittent catheter 12- Rx chlamydia : single dosde of Azithromycin OR 7 days doxycyclin 13- Rx neuromalignant syn : Dantrolene or Bromocripten 14- Rx atopic dermatitis : prevention of Rx , take short baths. 15- Rx presbyopia : convex lenses 16- Rx amblyopia : cover better eye 17- Rx hyperopia : convex lenses 18- Rx myopia : concave lenses 19- Rx beta blocker posioning : recent ingestion--> emesis , bradycardia : Atropine--> Isoproterenol- -> glucagon-->pace 20- Rx beta blocker poisioning : severe bronchospasm : aminophylline or Beta2 agonist. 21- Rx Isolated duodenal hematoma : NG + parentral nutrition. 22- Rx for preventing recurrence of HBV after liver transplant : HBV Ig + Lamivudine. 23- Rx Seizure due to INH toxicity : Pyriodoxine 24- Rx hyponatremia due to SIADH : water restriction. 25- Rx Girl infant < 3 months w vaginal bleeding : observation 26- Rx Slow down progression of DM nephropathy : AceI 27- Rx epiglottitis : Fiberoptic laryngoscopy in OR ( not in ER ) 28- Rx acute attacks of migrains : Rizatriptan 29- Rx acute attack of migrains lasts for longer than 48 hours or r frequently recurrent : ergotamine. 30- Rx anorexia nervosa : hospitalization 31- Rx prophlaxy against human bites : Amoxi / calvulanate 32- Rx rhabdomyolysis : osmotic diuresis + bicarbonate 33- Rx Afib + HF : digoxin . 34- Rx acute rejection : high dose IV steroides. 35- Rx bipolar disorder : lithium , valporate, OLANZAPINE. 36- Rx PCP : cotri . 37- Rx PCP + PaO2<70 mmhg: cotri + steroides. 38- Rx Bebesiosis : ( quinine, clinda) or ( atovaquone , azithro) 39- Rx IlleoIlleal intussuception due to HSP : Surgery ( in contrast to other causes of intuss ) 40- Rx esophagitis in HIV: itraconazole --> no answer --> esophagoscopy + cytology + biopsy 41- Rx psuedotumor cerebri : 1-acetazolamide --> no answer --> 2- shunt. 42- Rx struvite stones : eradication of UT infections. 43- Rx persistantly elevated ALT leval w detectable HBs Ag , HBe Ag and HBV DNA : INF and lamivudine. 44- Rx febrile neutropenic pt : cetazidime or cefepime ( add vanco if pt is hypotensive or there is high suspiscion of MRSA) 45- Rx Isolated systolic HTN: thiazides . 46- Rx acute attack of cluster headaches : 100% oxygen 47- Rx prevention of cluster headaches : verapamil ,pred,ergots,methysergide,Lithium 48- Rx reversing cardiac effects of ca channel blockers : Ca! 49- Rx Viterous hemorrhage : immediate ophthlamo consultation. 50- Rx Battery in esophagus : remove it immediatly . 51- Rx Battery in intestine : observe it. 52- Rx acute bleeding in pts with liver failure : FFP. 53- Rx OtoSclerosis : Surgery + Sodium Fluoride . 54- Rx non infalm comedones : topical retionides. 55- Rx mild inflam acne : benzoyl peroxide , topical antibiotics. 56- Rx Refractory mania, severe dep , dep in pregnancy , neuroleptic malig synd, catatonic schizo : ECT 57- Rx Acute attack of hepatic encephalopathy : All dietary protein withheld , oral or rectal lactulose , oral NEOMYCIN. 58- Rx white reflex in infant : refer to ophthalmo 59- Rx ST elevation>1 mm in 2 contiguous leads / new LBBB : thrombolytic therapy OR PTCA 60- Rx New LBBB : thrombolytic therapy. 61- Rx Trachoma : ORAL tetra or erythromycin. 62- Rx diabetic nephropathy : protein restriction ( 0.8 g/kg) , don't use AceI if Cr> 2,2.5 63- Rx Zenker : excision and frequently cricophayngeal myotomy 64- Rx porcelain gall bladder : cholecystectomy ( risk of carcinoma) 65- Rx conversion disorder : psychotherapy ( long term benefit ) 66- Rx Dyspepsia w positve breath test : erad H.pylori 67- Rx Dyspepsia w/o positive breath test : H2 blocker / PPI 68- Rx fibromuscular dysplasia : percutaneous angioplasty w stent placement. 69- Rx prophylaxis against MAC : Azithro or clarithro 70- Rx PBC: ursodeoxycholic 71- Rx Orbital cellulitis : imm admin of IV antibiotics. 72- Rx carcinoid synd : can u remove it?( Remove it ) , u can't remove it ? ( use octerotide ) 73- Rx vaginismus : relaxation, Kegel exercise , insertion training. 74- Rx Hypertrophic dystrophy of Vulva : steroides. 75- Rx lichen scleroris : steroides 76- Rx atrophic vaginitis : estrogen 77- Rx stable angina + HTN : Beta blocker. 78- Rx Tremor and rigidity in parkinson : Antichol ( benzotropines) 79- Rx exercise induced asthma : Beta agon , mast cell stabilizer. 80- Rx Reiter syn : NSAIDS . 81- Rx Chronic HCV ( HCV RNA presents , ALT inc , chornic hepatitis of at least moderate grade): INF+ Ribaverin. 82- Rx Lactation Suppression: tight fitting bra , ice packs , analgesics. 83- Rx non-complinat schizophrenic pt : long acting injectable antipsychotics like fluphenazine and haloperidol. 84- Rx TIA due to atherosclrosis: ASA 85- Rx TIA due to emboli from heart : Anticoagulation. 86- Rx Nocardiosis : sulfonamides. 87- Rx prophylaxis of getting UTI after intercourse : voiding after intercourse. 88- Rx met prostate cancer: palliative radiation + anti androgen therapy ( leuprolide ) 89- Rx Actinomycosis : high dose penicillin 90- Rx RA with erosive joint disease : DMARDS ( MTX, hydroxychlorquine , sulfasalazine , etanercept, azathio) 91- Rx Met brain tumor : surgery + whole brain radiation. 92- Rx Dressker : NSAIDS --> no answer : short course of steroides. 93- Rx PMR : low dose pred 94- Rx Giant cell : high dose. 95- Rx cocaine intox : Benzo + ASA + nitrates. 96- Rx effect of PEEP on CO : inotropic agent or fluids. 97- Rx RMSF: Doxycycline 98- Rx De Quervain’s tensosynovitis : Long acting steroids. 99- Rx HSV encephalitis : IV acyclo without delay. 100- Rx ALS: Riluzole 101- Rx Subdural hematoma w/o midline shift : head elevation , hyperventilation , acetazolamide 102- Rx Subdural hematoma w midline shift : craniotomy 103- Rx early syph : Single IM Benz Peni , if allergic Doxy or tetra for 14 days . in pregnancy use peni with desintizator 104- Rx Acute attack of Gout : use NSAIDs, there may be an option of colchicine but do not mark this option. 105- Rx prevention of gout attack : allopurinol 106- Rx GAD: Buspirone 107- Rx post-term preg : NST + BPP ( twice/weekly ) „³ oligo or late dece or >43 w „³ delivery 108- Rx Kawasaki in children : ASA ( the only disease u give child ASA inspite of fear of Reye syn) 109- Rx massive hemoptysis : RIGID broncho 110-Rx acute vaso-occlusive crisis in sicke cell : Exchange transfusion aplastic crisis,splenic sequestration,acute chest syndrome, cva,priapism 111-Rx Acute dystonia : antihistamine or anticholinergic 112-Rx Parkinsonism as a result of antipsychotic: Benzo 113-Rx Akathesia : beta blockers 114-Rx HEAVY UNREMITTING ENDO HEMORRHAGE : high dose conjugated estrogens 115-Rx Stress Fx : restricting weight bearing + short leg casts (3 to 4 W) 116-Rx Met breast cancer + lytic bone disease : IV pamidronate 117-Rx intertrochanteric Fx of femur : internal fix with sliding screw and plate , early mobilization 118-Rx Cholangitis : Drain biliary tree with ERCP 119-Rx Lambert Eaton : plasmapheresis + immunosuppression 120-Rx Emphysematous cholecystitis : Imm fluid + electrolyte correction + antibiotics + early surgical cholecystectomy 121-Rx Acute exacerbation of MS: Steroides 122-Rx Umblical hernia : mostly Observe ( look for few indection of intervention) 123-Rx Cholestoma: surgical removal 124-Rx GBS: IVIg, plasmaphresis 125-Rx Hordeoulum/stye : warm compress„³ no answer after 48 hours „³ incision and drainage 126-Rx Erysipelas : Peni 127-Rx Fever in neutropenic pt : Cetazidime / Cefepime 128-Rx MG crisis: plasmapheresis 129-Rx Sarcoidosis : systemic steroids. 130-Rx for prevention of recurrence of renal stone : know them well and also remember that Ca intake must be NORMAL or even INCREASED !!!???. 131-Rx Osgood Schlatter disease: Rest, NSAIDs , brief casting 132-Rx Molluscum : curettage or application of luquid nitrogens 133-Rx Amebic liver abscess: metro 134-Rx Hypochlo met alkalo : 0.9% Nacl , NG suction „³ K supp 135-Rx Anorexia asso w chemotherapy : Megestro acetate 136-Rx Tension pneumothorax : needle thoraco 137-Rx Sensory neuropathy w DM : TCA , Gabapentin , NSAIDs 138-Rx acute pyeloneph : IV ampi + genta ( empiric ) 139-Rx VT hemo stable : Lido or Amio 140-Rx prevention of variceal bleeding : beta blocker 141-Rx pul infection if CF : aminoglyco + antipseudomona 142-Rx Hydatid cyst : Surgery under cover of Albendazole ( Plz do not aspirate these cysts ) 143-Rx Reflex sympathetic dystrophy: physical therapy, prednisone , ganglion block 144-Rx Chorioamnionitis :Ampi+ Genta 145-Rx PCOD: combines estro/prog or cyclic prog 146-Rx Perforation of esophagus: primary closure of esophagus , drainage of mediastinum w/i 6 hours to prevent mediastinitis 147-Rx Rotator cuff tendonitis : Lido injection 148-Rx Megacolon: Iv fluids , Antibiotics , bowel rest , Iv cortico 149-Rx Disseminated histoplasmosis in HIV: IV ampho B + LIFE LONG itraconazole 150-Rx Pseudomona : cefepim/ceftazidime 151-Rx Dystonia : Anti hista , anti chol 152-Rx AIDS with Dysphagia : 1-2 w of oral fluconazole „³ no answer „³ biopsy 153-Rx Vipoma : correct dehydration slow diarrhea surgery 154-Rx Ewing’s sarcoma : radio/chemo surgery 155-Rx Croup : use racemic epinephrine before intubating your pt. 156-Rx Free air under diaphragm : go to OR 157-Rx Abnormal hemostasis due to uremia : DDAVP, Cryopre, conjugated estro 158-Rx Pancreatic pseudocyst : only drain them if persist more then 6W or > 5 cm. 159-Rx Capillary hemangioma: mostly regress by age of 7 160-Rx Acute torsade de points: Mg replacement 161-Rx MgSo4 tox: stop MgSo4, give Ca gluconate 162-Rx CAD + EF<40% : think about Ace I 163-Rx Dec frequency of relapses of MS: INF beta 164-Rx Anemia of prematurity : Iron supp, periodic Hgb checking and blood transfusion if needed 165-Rx Spinal injuries: think about cortico 166-Rx Ascities in cirrhotic pt : diagnostic paracentesis , salt restricted diet ,spironolactone , 167-Rx Giant cell tumor : refer it to expert! 168-Rx Nocardia : cotri 169-Rx Clavicle Fx : figure of 8 170-Rx “ persistent “ nocturnal enuresis : DDAVP ( not imipiramine , also know which nocturnal is normal ) 171-Rx PCO : think about metformin 172-Rx PH of PF <7.2, PF glucose <60 : chest tube 173-Rx Mediastinal adenopathy on CXR : Med broncho + biopsy 174-Rx bleeding varices : Band ligation is better than sclerotherapy 175-Rx SAH: think about Nimodipine for preventing associated ischemia 176-Rx Tourette’s disorder : Haloperidol , pimozide 177-Rx Preventing PCP in transplant pt : cotri 178-Rx ANY gun shot wound to Ant Abd : LAPARATOMY 179-Rx first line for HTN: diuretics/beta blocker 180-( this one is imp) Rx Primary Parathyro : - pt symptomatic : Surgery , Pt pregnant : surgery, follow up is difficult : surgery , serum Ca > 1 mg/dl over upper limit : surgery 181-Rx Basal cell carcinoma : excision removal with “ 1-2 mm” clear margin ( number is imp) 182-Rx erythema margins ( lyme) Doxy / 28 days or Amoxi ( in pregnant ) 183-Rx Late lyme disease : IV ceftriaxone 184-Rx Irregular atherosclerotic lesion in carotid + blockage >60% : surgery 185-Rx infant with congenital diaphragmatic hernia : IMMEDIATE orogastric tube . 186-Rx Reye syn: glucose + FFP and mannitol to dec cerebral edema 187-Rx Cat Scratch disease: Azithro/5days 188-Rx pt with variceal bleeding needs 5 or more units of blood in 24 hours : go for TIPS 189-Rx intermittent claudication :as pharm therapy go for Ca channel blockers. Armin 01-06-05 190-RX initial drugs in COPD : antichol 191-Rx Isolated LV diastolic dysfunction : beta blocker 192-Rx Colles FX: closed reduction + casting 193-Rx pul emboli with hemo instability or clot in main pul A. : pul embolectomy 194-Rx in ARDS : think about PEEP 195-Rx preg pt w asymptomatic bacteriuria : nitrofuran / 7-10days 196-Rx infectious mono w upper airway obstruction or “ autoimmune hemolytic anemia “ or “ thrombocytopenia “ : cortico 197-Rx Fibromyalgia : TCA or Cylobezarpine 198-Rx Benign essential tremor : propranolol 199-Rx Superficial thrombophlebits : Local heat, bed rest, NSAIDs . 200-Rx Atypical mycobacterium infection : Azithro for prophylaxis 201-Rx MAC: Clarithro + ethambutol ( imp) 202-Rx child w legg calve perthes below 5 years of age : NO TREATMENT!!! 203-Rx child w legg calve perthes above 5 years of age: abduction bracing / surgery 204-Rx IE in IV abusers : Vanco + Genta 205-Rx IE in Non-IV abusers : Nafi + Genta 206-Rx condylomata acuminate: Podophyllin 207-Rx specific phobia : systemic desensitization 208-Rx Tricho : metro for pt + partner 209-Rx ALL pts w BLUNT trauma to abd BUT w signs of peritoneal irritation : laparatomy. 210-Rx slowing cognitive decline in Alz : Donepezil / Tacrine 211-Rx Pancreatic Abscess : “ External “ drainage 211-Rx Pancreatic Abscess : “ External “ drainage 212-Rx Granulum Inguinale : Tetra/10-21 days 213-Rx Pertusis : erythro/14 days 214-Rx Pancoast syn: radiation followed by surgery 215-Rx Acute otitis http: Amoxy /10 days , failed Amoxi-Clav 216-Rx Measles : don’t forget Vit A 217-Rx chest tube drainage of blood more than 1500cc at first or more than 600cc in 6 hours : surgical thoracotomy 218-Rx RV infarction : immediate volume expansion , failed …Dobutamine 219-Rx Vomiting due to chemotherapy: Ondansetron 220-Rx Adjustment disorder: psychodynamic psychotherapy or brief cognitive psychotherapy 221-Rx Legionella pnumo: high dose erythro or azithro 222-Rx CLL ( w associated symp) : chlorambucil/pred 223-Rx first degree heart block: no Rx! 224-Rx Non displaced scaphoid Fx : cast immobilization of wrist 225-Rx Displaced scaphoid Fx : Internal fixation 226-Rx premature atrial beats: No RX! 227-Rx Hairy cell leukemia : Cladribine 228-Rx Non-Hodgkin’s lymphoma: CHOP 229-Rx SVC obstruction: Angioplasty w stenting ( imp) 230-Rx Mediastinitis : Thoracotomy for debrid,drain + antibiotic therapy 231-Rx displaced femoral neck in “ elderly” : primary arthroplasty 232-Rx clavicle Fx in infant : no Rx, avoid putting pressure on arm 233-Rx PID in hospitalized pt : cefoxitin/doxy , cefotetan/doxy, clinda/genta 234-Rx PID in non hos pt: cefoxitin/probencid, cetraixone/doxy ofloxacin(14d)+Metrogyl(14d Both BID)kaplan 235-Rx Androgen insensivity syn: Gonadectomy ( inc risk of test cancer) 236-Rx compartment syn due to eschar of burn wounds: escharotomy 237-Rx Papilloma of breast : Galactogram guided resection 238-Rx shaft of femur Fx: closed intermedullary fixation w/o interrupting skin. 239-Rx scoliosis < 20 degree: observe 240-Rx scoliosis >30: Bracing. 241-Rx Scoliosis >40: surgery 242-Rx Shaft of humerus: closed reduction + hanging cast. 243-Rx dirty looking wound in pt w less then 3 doses of tet tox: toxoid +Tig ( only situation which u give pt Tig) 244-Rx uncomplicated Basilar skull fx : head elevation , fluid restriction. 245-Rx Ludwig Angina: IV peni w coverage for anaerobes 246-Rx Meconium plug syn: Water soluble contrast enema mm 247-Rx Ovarian torsion: surgery 248-Rx Tubo-ovarian abscess: surgery 249-Rx volvulus or malrotation: immediate surgery 250-Rx Transposition of great vessels: keep ductus arteriosus open, go for surgery. 251-Rx whipples & tropical sprue DOXY/CTM/CEFTRIAXONE 252 Rx Sq cell Ca Anus in HIV,Homos : Nigrochemoradiation Protocol,then Surgery